Individual
DR. PETER A MOSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
468 GREAT RD, ACTON, MA 01720-4187
(978) 635-0509
(603) 415-3521
Mailing address
468 GREAT RD, ACTON, MA 01720-4102
(978) 635-0509
(603) 415-3521
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4495
MA
103TC0700X
Clinical Psychologist
4495
MA
103TH0100X
Health Service Psychologist
Primary
4495
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518107
—
MA
Enumeration date
09/30/2005
Last updated
09/11/2025
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